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Guillian –Barre' Syndrome: A frequent cause of Acute Flaccid Paralysis in Diyala Governorate, 2011-2015 | ||
| IRAQI JOURNALOF COMMUNITY MEDICINE | ||
| Article 1, Volume 28, Issue 4, 2015, Pages 179-183 | ||
| Author | ||
| Salwa S Abdul-Wahid Al-Kinani | ||
| Abstract | ||
| Back ground:Acute flaccid paralysis (AFP) is a clinical syndrome characterized by rapid onset of muscles weakness and less frequently muscles of respiration. Guilliain -Barré syndrome (GBS) is included in the differential diagnosis AFP. Objectives: To identify the incidence of acute flaccid paralysis (AFP), to determine what proportion of acute flaccid paralysis due to Guillain-Barre syndrome, and to define some demographic and epidemiologic determinants of AFP cases in Diyala Governorate during the years 2011-2015 . Materials and Methods: This is a retrospective study that reviewed all AFP cases reported during the period years 2011-2015 (no=185) admitted to the pediatric hospitals in Diyala Governorate or AFP cases reported in other governorates referred to Diyala. This study reviewed all available investigation, clinical and virological data including all reports and records of the 60 days Committee, which determined the final classification of all cases fulfilled the criteria for AFP. Results: Revealed that the incidence rate of AFP in Diyala Governorate was (6.11/100,000 <15 years), the highest incidence rate was (7.07/100,000 <15y) in Baquba-1 district and the least was (3.77 /100,000 <15 y) in Khanakin district. GBS represented (15.7%) of total AFP cases, with incidence rate 1.3/ <15 year. The results also revealed that increased cases at age groups less than 9 years, mainly among males, with highly significant differences. While no significant difference with respect to subject of residency. In addition to that results shows that high significant differences among observed AFP cases at temperate weather, Meningitis, oral polio vaccine (OPV) doses, and with final outcome. Conclusion: GBS is a frequent cause for AFP, although it is preceded by meningitis. AFP incidence in agreement with results of other studies. This study recommended more emphasis in regard to precision and accuracy in diagnosis of other causes of AFP cases. | ||
| Keywords | ||
| Acute flaccid Paralysis; Gillian Barre; AFP Surveillance; Diyala | ||
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